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This vitamin is then bound to transcobalamin II and transported to the liver and other tissues, where it acts as a coenzyme for crucial biochemical reactions necessary for blood formation and proper brain and nervous system functioning

I believe its a good sign, that healing of the nerves is going on

Documentation in the medical record must support the medical necessity and frequency of the trigger point injection(s)

Diagnosed Deficiency or Malabsorption if you have a confirmed deficiency in a vitamin that affects appetite (like B1, zinc, or iron) or a condition that impairs nutrient absorption (such as certain digestive disorders or post-surgical states), vitamin injections can be highly beneficial

means appreciating the need for ongoing medical supervision